Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.90 / $595.02 / $2,747.00	Facility		$358.90	$595.02	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $389.93 / $491.18 / $864.70	Facility	54	$389.93	$491.18	$864.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $331.95 / $793.02	Professional		$222.40	$331.95	$793.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.38 / $527.79 / $811.29	Professional		$302.38	$527.79	$811.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.91 / $645.67 / $740.10	Professional		$537.91	$645.67	$740.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $298.88 / $483.84 / $670.65	Facility		$298.88	$483.84	$670.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $420.63 / $489.80 / $778.81	Professional		$420.63	$489.80	$778.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $345.84 / $511.55 / $608.36	Facility		$345.84	$511.55	$608.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.88 / $466.81 / $748.81	Facility		$298.88	$466.81	$748.81
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $552.46 / $552.46 / $552.46	Facility	54	$552.46	$552.46	$552.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.42 / $573.50 / $784.75	Professional		$459.42	$573.50	$784.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $890.90	Facility		$564.70	$724.26	$890.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $496.33 / $656.73 / $860.10	Professional		$496.33	$656.73	$860.10
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.91 / $565.59 / $871.34	Professional		$395.91	$565.59	$871.34